ABG solving series , ABG 1 and 2 | RegularCrisis

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  • čas přidán 15. 06. 2024
  • #regularcrisis #abgsolvingseries
    RegularCrisis ABG Solving Series , ABG 1 and 2
    The above video is recording of the regular ICU classes taken by Dr. Ankur Gupta (Intensivist) in the hospital.
    This video is a part of the regular ABG solving series of RegularCrisis.com and ESBICM.
    In this, the residents/students solve the ABG live on screen which helps to make viewers understand the process involved in decoding it and also make them feel that this can be done in their ICUs also. It's not that tough; it just needs practice and proper approach towards it.
    0:00 Intro
    0:47 ABG 1
    5:43 ABG 2
    If you are new to the channel or this series, please watch the lecture on “How to Solve and ABG” - • Master how to read and...
    You can ask your queries on regularcrisis forums or in the comments section.
    Playlists on regularcrisis channel:
    1. Mechanical Ventilation and ABGs
    • Master basics of invas...
    2. Lectures and Classes for ICU and ER
    • How one single step ‘m...
    3. Clinical Cases from ICU and ER
    • Case 1, RegularCrisis ...
    4. Lab Investigations of ICU and ER
    • How to read an ECG in ...
    5. Drugs used in ICU and ER
    • What is the difference...
    6. Interesting observations in ICU and ER
    • Is your ICD tube at th...
    regularcrisis.com is dedicated to doctors and nurses who regularly manage crisis like situations in ICU & ER.
    Intensive care unit and emergency department are the backbones of any hospital where all critical situations are managed. Everyday is a crisis like situation there and with time the team working there get used to it with. With time, their skill gets more sharpen with which they manage these situations more and more efficiently each time.
    But most importantly, the experience which they accumulate is invaluable; their experiences teach them things which at times are not mentioned in the regular textbooks. What if this experience is shared with the doctors and nurses who are newly joined in ICU and ER!
    Regularcrisis.com serves this purpose only. We share educational material (mainly videos and forums discussion) which is a blend of latest guidelines and rich experience of ICU and ER teams.
    We hope that his small effort of ours will be of some help to those working in ICU and ER.
    Update: regularcrisis.com is now affiliated with ESBICM* for creating educational videos for health care working in ICU and ER.
    *Educational Society of Bedside Intensive Care Medicine
    regularcrisis is founded by Dr. Ankur Gupta, an Intensivist.
    #drankurgupta

Komentáře • 81

  • @alanomer6523
    @alanomer6523 Před měsícem +1

    Always learning something new from you even though thousand miles far from you
    Thank you for the good job 👏

  • @DrSmitaUkey
    @DrSmitaUkey Před 3 lety +6

    Thank you doc.🙏
    I wish we had teachers like you.
    God bless you .

  • @krupsanamathavethanku6707
    @krupsanamathavethanku6707 Před měsícem +1

    Arterial line monitoring -insertion, uses and monitoring

  • @Kirshankumar-xy8cw
    @Kirshankumar-xy8cw Před 2 měsíci

    Very good info and much help you are providing on this platform .
    Stay blessed and expect much more.

  • @swapanpalit6529
    @swapanpalit6529 Před 2 lety +2

    Thank you for the easy explanations of daily icu practices.These videos are of great help. More please.

    • @TheICUChannel
      @TheICUChannel  Před 2 lety

      Thanks a lot … in next 7-10 days , there we regular videos …

  • @karannagra9370
    @karannagra9370 Před 2 lety

    Thank you for such a great video sir

  • @hemabhuriya8343
    @hemabhuriya8343 Před 2 lety

    Very nice
    God bless u

  • @nehadutt9048
    @nehadutt9048 Před měsícem

    Very easily understandable ..thank you so much sir

  • @lifeholders_24
    @lifeholders_24 Před 4 měsíci

    Thnku so much sir*❣️

  • @riritan798
    @riritan798 Před rokem

    Many thanks sir for these videos

  • @veerpal8799
    @veerpal8799 Před 2 lety

    Thanku so much sir

  • @juliachambers725
    @juliachambers725 Před 9 měsíci +1

    Thank you. Very thorough. How do you decide based off labs if calcium need a to me replaced? Is there a formula. Or do you replace albumin first. Thx

  • @vijaykumargoli04
    @vijaykumargoli04 Před rokem

    Thanks sir

  • @sagarawachar
    @sagarawachar Před rokem

    V useful, kindly sir post one class on electrolyte abnormalities and its correction

  • @drdeepapolinati
    @drdeepapolinati Před rokem

    Thank you so much 🥰

  • @sivasankarnallapati
    @sivasankarnallapati Před 2 lety

    Super

  • @siadhcsf9263
    @siadhcsf9263 Před 2 lety +2

    Excellent. More examples in different clinical/respiratory/renal conditions would be helpful.

  • @MuhammadJameelkhan-bs4nn

    Wonderful explanation regarding ABG, s I have ever seen. Plz.Kindly tell me if the same principles are also applicable in pediatric ICU settings?? Also Sir. tell me the reference book from where u have teached us.... Thanks a lot sir...

  • @isshak1
    @isshak1 Před 4 měsíci

    Thank you so much
    Can you please explain how to calculate the expected serum bicarb using pH and albumin also the expected anion gap rather than using the provided lab range. Thank you so much.

  • @jawharulislam878
    @jawharulislam878 Před 9 měsíci

    Thank you doc …Need more videos on topics medicos are generally weak in and thus are scared of!

  • @vidyabc2389
    @vidyabc2389 Před 6 měsíci

    Sir in last class for respiratory alkalosis, the change in bicarbonate in acute said as 3 ? Is it 2 or 3 sir

  • @mardmaratha4323
    @mardmaratha4323 Před rokem

    Good evening sir.
    While solving 2nd ABG, for hidden metabolic alkalosis, serum potassium is missed.
    Also, serum glucose levels are not mentioned.
    Can i know these values ? Please.

  • @shivanithorat2087
    @shivanithorat2087 Před rokem

    Best

  • @sudhirpasham3924
    @sudhirpasham3924 Před rokem +1

    Awesome videos. For any Ph: Some how it mostly comes back corrected bicarb as last 2 digits of the Ph. As well seen in both the examples. Correct me if I am wrong !

    • @TheICUChannel
      @TheICUChannel  Před rokem

      nice observation, but its just a co-incidence.

  • @ahmadgumman3390
    @ahmadgumman3390 Před 2 lety

    why you did not calculate the A-a gradient in the first example? kindly enlighten us

  • @arpitprajapati9755
    @arpitprajapati9755 Před 5 měsíci

    In expected AG , the pH correction when deduct 0.1 value so we take -2 ??
    A confusion , plz clear this

  • @kesharigupta6698
    @kesharigupta6698 Před 2 lety +1

    Sir please ek lecture Bipap machine pr bnaiye ...
    How to use Bipap machine ,when it is use ,how put it setting , it's function ..

  • @drvishalparmar
    @drvishalparmar Před rokem

    👌👌👌

  • @mirfathassan964
    @mirfathassan964 Před 7 měsíci

    How did you come up with 2 as pH correction?

  • @DrSmitaUkey
    @DrSmitaUkey Před 3 lety

    Do we have DKA management video?

  • @aroor1785
    @aroor1785 Před 2 lety

    You are apatient kind teacher i wish if i can have a rotation under ur mentorship and supervesion

  • @yashwanthpradeep6352
    @yashwanthpradeep6352 Před rokem

    Kindly mention the corrections needed

  • @SK-lj1ql
    @SK-lj1ql Před 2 lety

    Isn't albumin correction added to Anion Gap. Meaning low albumin will increase the anion gap right. You're showing that AG is decreasing instead of increasing with low albumin??

  • @divijbambgmail
    @divijbambgmail Před 4 měsíci

    Sir if we calculate the A- a gradient in the first example, it is coming to be 233…
    Why is it so high.. and why did we not calculate it in that patient.

  • @dipansukhrolia1782
    @dipansukhrolia1782 Před rokem

    Sir, PaO2 is 216 at fiO2 of 70%, PaO2 should have been around 4 to 5 times .. so this is hypoxemia or hyperoxemia. If we achieve PaO2 of 100 or more at any at 100%O2. will it be called hypoxemia or hyperoxemia

  • @jigdalbhutia8112
    @jigdalbhutia8112 Před 2 lety

    Hello Sir, can you please Enlighten me with what role does Lactate and Base excess level plays in interpretation of ABG, thanking you in advance

  • @gajendrasinghgaur6331

    Gr8

  • @AnkitSharma-qx9fd
    @AnkitSharma-qx9fd Před 3 lety

    kidr the app essa channel doonda rahe tha kab se ....thanku so much

  • @doctorjo5947
    @doctorjo5947 Před rokem

    Ph gap 2 ??? How to calculate

  • @AliHamza-bz2oo
    @AliHamza-bz2oo Před rokem

    Sir as you told in previous lecture po2 should be five time of fio2 then it's hypoxia na ??? Tu phir ap hyperoxemia kun Keh raye hain hamen oxygen zayda Karni chaye na??

    • @TheICUChannel
      @TheICUChannel  Před rokem

      po2 above 100 is hyperoxemina.
      80-10 normal oximeia

  • @ahmadgumman3390
    @ahmadgumman3390 Před rokem

    why didnt you calculate A-a gradient in the first case? kindly enlighten us
    thank you

    • @TheICUChannel
      @TheICUChannel  Před rokem

      the focus was on showing the acid base calculation , that's why.

  • @dranujatripathi
    @dranujatripathi Před 3 lety +1

    In 2nd ABG A-a gradient was calculated
    Why not in first'ABG

    • @udayshankargajulapalli3295
      @udayshankargajulapalli3295 Před 3 lety

      May be In first abg.. With fio2 -70% .. Po2 is good.. But in secnd abg even with fio2-60 the po2 in only 126...i dnt say it is hypoxemia.. But with fio2-60.. Po2 should be more.. I think

  • @uppiuppi6046
    @uppiuppi6046 Před 2 lety

    Sir 70% fio2 means p02 is 5 times it 350mmhg...then it's hypoxia right?

    • @TheICUChannel
      @TheICUChannel  Před 2 lety

      It’s should be around 350 if no lung pathology.

  • @rizwan5635
    @rizwan5635 Před 3 lety

    Sir tell more albumin...in 2nd abg u calculated albumin..

    • @TheICUChannel
      @TheICUChannel  Před 3 lety

      czcams.com/video/yFFRDCC3pMo/video.html watch this

  • @nehasrivastava5801
    @nehasrivastava5801 Před rokem

    Sir is there any other platform where u teach?
    Or only you tube
    Your teaching is lifesaving for me.

    • @TheICUChannel
      @TheICUChannel  Před rokem

      Neha read the description of this video czcams.com/video/HfAVcMAMQVw/video.html

  • @Johnieee
    @Johnieee Před měsícem +1

    Thanks lot amazing video😊:
    Doctor normaly iam calculating only this much not go deeply, is this correct to get a idea, in ur second abg
    Pa02= 126,fi02=60,
    Pao2/ fi02= 126.6/0.60=211
    Ie hypoxia expected 211,is it correct calculation just roughly know about a picture
    Iam not going into Arterial-Arterial Gradient (A-a Gradient) and anion gap just for an nurse this is enough or not
    Pf ratio = pa02/ fio2,is any importance this calculation doctor, plz rpy humble request

    • @TheICUChannel
      @TheICUChannel  Před měsícem +1

      for fio2 60, po2 should be 300 (expected)

  • @rumshaacheyanne136
    @rumshaacheyanne136 Před 2 lety

    I am an critical care resident I usually don’t have much time to calculate all the parameters !!

    • @TheICUChannel
      @TheICUChannel  Před 2 lety +1

      With practice it will be a matter of seconds for you

  • @ravikantjhamri5840
    @ravikantjhamri5840 Před rokem

    I have seen again and world over while interpetating ABG it is the pH which is first look at please explain why we should look oxygen and not pH as international standard

    • @TheICUChannel
      @TheICUChannel  Před rokem

      Not an issue , solve any way you want … but follow a pattern so that nothing is missed while reviewing.

  • @Dailydave007
    @Dailydave007 Před 4 měsíci

    Second one is worng the anion gap is 18.3

  • @pareshhadiya1252
    @pareshhadiya1252 Před rokem +1

    Hello sir
    Plz suggest In which book I can read about expected anion gap=12+pH corectn + albumin corectn formula !??

  • @mehnazftithina
    @mehnazftithina Před 6 měsíci

    Ph correction..can u explain?

    • @TheICUChannel
      @TheICUChannel  Před 6 měsíci

      czcams.com/video/yFFRDCC3pMo/video.htmlsi=TIkQ35dgpvfoUlMF

  • @samraahmad2157
    @samraahmad2157 Před rokem

    Kindly attach pdf file in a simplified way too

  • @ritwik8554
    @ritwik8554 Před rokem

    What is the formula for Expected AG?? In the first ABG Mam wrote 12 - pH correction but in the 2nd ABG Sir wrote 12 + pH correction. Could you please clarify???

  • @AnkitSharma-qx9fd
    @AnkitSharma-qx9fd Před 3 lety

    12-2 why 2 low value ph mean 2 what is logic dont understand

    • @TheICUChannel
      @TheICUChannel  Před 3 lety

      Please see the following video czcams.com/video/yFFRDCC3pMo/video.html

  • @cameronshea01
    @cameronshea01 Před rokem +3

    He keeps interrupting her and it’s very distracting.

    • @jawharulislam878
      @jawharulislam878 Před 9 měsíci +3

      No , his interruption is a must ….it’s informative!

    • @ahmet-vm2qt
      @ahmet-vm2qt Před měsícem

      The teacher is right. the students posibly work out for the first time... He just helps...

  • @medicinehitter6372
    @medicinehitter6372 Před rokem

    Gllt🙏